Individual
DR. ALEX MADOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2424 N BLUFF ST, FULTON, MO 65251-2709
(573) 310-4075
Mailing address
2424 N BLUFF ST, FULTON, MO 65251-2709
(573) 642-6904
(573) 642-7256
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2022040132
MO
Other
Enumeration date
06/21/2021
Last updated
09/30/2025
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